Quality

Get with the Guidelines

Get with the Guidelines
Improving on the exceptional quality of care is important to the physicians and staff at the Marcus Stroke and Neuroscience Center. Sharing our performance data on a regular basis is our way of demonstrating this commitment.

The information contained on this site provides data on key performance measures. We also highlight some of the many quality initiatives the health system is undertaking to further enhance and improve quality for our patients.

Stroke Quality Measures

ComprehensiveStroke Center Measures

CSTK-1: NIHSS Score Performed for Ischemic Stroke Patients
CSTK-5: Hemorrhagic Transformation Overall Rate
CSTK-5a: Hemorrhagic Transformation for Patients Treated with IV tPA Only
CSTK-5b: Hemorrhagic Transformation for Patients Treated with IA tPA or MER Therapy
CSTK-6: Nimodipine Treatment Administered
CSTK-8: Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)

Primary Stroke Center Measures

STK-1: VTE Prophylaxis
STK-2: Antithrombotics Prescribed at Discharge
STK-3: Anticoagulation for Patients Diagnosed with A-fib or A-flutter
STK-4: Initiation of IV tPA within 3 hours of Last Seen Well for eligible patients
STK-5: Antithrombotic Therapy started by end of hospital day #2
STK-6: Patients should have an LDL level drawn within 48 hours of admission. Patients with LDL >100 should be discharged home on Statin therapy.
STK-8: Patients or family members must be provided with Stroke Education.
STK-10: Rehab must be considered for all patients

 

2017 Get With The Guidelines® Stroke – Gold Plus, Target Stroke Honor Roll Elite Plus

The American Heart Association and American Stroke Association recognize this hospital for achieving 85% or higher compliance with all Get With The Guidelines® – Stroke Achievement Measures for two or more consecutive years and achieving Time to Intravenous Thrombolytic Therapy ≤ 60 minutes in 75% or more of applicable acute ischemic stroke patients treated with IV tPA AND Time to Intravenous Thrombolytic Therapy within 45 minutes in 50% of applicable acute ischemic stroke patients treated with IV tPA to improve quality of patient care and outcomes.

Marcus Stroke Center firsts…

  • First 24/7/365 Stroke Team in Georgia – established in 1992
  • First to discover t-PA (along with 7 other US centers) as an effective treatment for acute stroke leading to FDA approval in 1996, now a standard of care in Georgia and around the US
  • First to create a statewide hospital network (Georgia Coverdell Stroke Registry) in 2001 to mentor hospitals throughout Georgia to adopt new standards of stroke care, now a network of 64 collaborating hospitals
  • First to establish a regional multi-hospital acute stroke referral network in 2010 to provide cutting edge neuroendovascular therapeutics to save brain, minimize injury and promote recovery, now with more than 70 referring hospitals
  • First angiogram suite placed in a NeuroICU in the world (2010)
  • First NeuroICU to cross train nurses to work in both ICU and angiogram suite to improve patient care and continuity
  • First to publish evidence in a major peer review journal on patient outcomes after neuroendovascular intervention for acute stroke showing that high volume comprehensive stroke centers have better patient outcomes than low volume comprehensive stroke centers
  • First to use centralized video monitoring of patients with stroke to enhance safety reducing chances for self-injury while recovering from stroke
  • First public safety-net hospital to be certified by The Joint Commission as a Primary Stroke Center in 2005, and the first to be certified as a Comprehensive Stroke Center in 2013
  • First to establish the NIH funded Georgia StrokeNet (2013) by partnering with regional hospitals to enhance and accelerate discovery of promising treatments for patients with stroke